14D2160958 CLIA NUMBER - JOLIET HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2160958
  • Facility Name: JOLIET HOME DIALYSIS
  • Facility Address: 368 S WEBER RD
    ROMEOVILLE, IL
    ZIP 60446
  • Facility Phone: 815 254-0283
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ZDZISLAWA MAJKA-KRAVETS
  • NPI Number: 1124587019
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2160958
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JOLIET HOME DIALYSIS
Street 368 S WEBER RD
City ROMEOVILLE
State IL
ZIP 60446
Phone 815 254-0283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ZDZISLAWA MAJKA-KRAVETS

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This page was last updated on: 3/20/2025